title: What aspects of rehabilitation provision contribute to self-reported met needs for rehabilitation one year after stroke--amount, place, operator or timing?
abstract: OBJECTIVE
  To a large extent, people who have suffered a stroke report unmet needs for rehabilitation. The purpose of this study was to explore aspects of rehabilitation provision that potentially contribute to self-reported met needs for rehabilitation 12 months after stroke with consideration also to severity of stroke.
  
  
  METHODS
  The participants (n = 173) received care at the stroke units at the Karolinska University Hospital, Sweden. Using a questionnaire, the dependent variable, self-reported met needs for rehabilitation, was collected at 12 months after stroke. The independent variables were four aspects of rehabilitation provision based on data retrieved from registers and structured according to four aspects: amount of rehabilitation, service level (day care rehabilitation, primary care rehabilitation and home-based rehabilitation), operator level (physiotherapist, occupational therapist, speech therapist) and time after stroke onset. Multivariate logistic regression analyses regarding the aspects of rehabilitation were performed for the participants who were divided into three groups based on stroke severity at onset.
  
  
  RESULTS
  Participants with moderate/severe stroke who had seen a physiotherapist at least once during each of the 1st, 2nd and 3rd-4th quarters of the first year (OR 8.36, CI 1.40-49.88 P = 0.020) were more likely to report met rehabilitation needs.
  
  
  CONCLUSIONS
  For people with moderate/severe stroke, continuity in rehabilitation (preferably physiotherapy) during the first year after stroke seems to be associated with self-reported met needs for rehabilitation.
authors.affiliation: Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden. malin.tistad@ki.se
authors.forename: Malin
authors.initials: M
authors.lastname: Tistad
authors.forename: Lena
authors.initials: L
authors.lastname: von Koch
authors.forename: Christina
authors.initials: C
authors.lastname: Sjöstrand
authors.forename: Kerstin
authors.initials: K
authors.lastname: Tham
authors.forename: Charlotte
authors.initials: C
authors.lastname: Ytterberg
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D011446:Prospective Studies; D012047:Rehabilitation Centers / Q000458:organization & administration / Q000592:standards* / Q000706:statistics & numerical data; D020521:Stroke / Q000523:psychology; D000071939:Stroke Rehabilitation; D013548:Sweden; D013997:Time Factors
keywords: health care services; needs; rehabilitation; stroke; stroke severity